Health insurance plans are not equal. Your financial obligation resulting from your cancer treatment will depend on many factors, including whether your insurance plan covers cancer care at Roswell Park, whether Roswell Park is an in-network provider in your plan, as well as your plan’s deductibles and copays. The most important thing is that you have access to the quality care you deserve.
You will need to know the name of your health insurance company as well as the name of your specific plan. Each insurance company offers many different plans, and not all of them may include care and services at Roswell Park. For example, Roswell Park may participate with a company’s Medicaid Managed Care and Essential Plans, but not with that same company’s Medicare Advantage plan or Metal-level plans purchased through the healthcare Marketplace.
View Health Plans & NetworksHospital Participation Status
Physician Participation Status
Aetna
Yes if accessed through Magnacare **
Yes if accessed through Magnacare **
Aetna Dental
Allegany/Cattaraugus County Cancer Services Program
American Indian Health Program (AIHP)
Amerigroup (Blue Cross Blue Shield of Western New York HealthNow)
Child Health Plus
Azeros Health Plan (Nova Dentalcare)
BDCT (Blue Distinction Centers) - Transplant Network
Carelon Behavioral Health (formerly Beacon Health)
Chautauqua County Cancer Services Program
Cigna *
Yes if accessed through MVP **
Yes if accessed through MVP **
Cigna LifeSource - Transplant Network
Contigo Health (formally Three Rivers Provider Network)
Coventry
Delta Dental
Dentaquest
Emblem Health/GHI
EmpirePlan (UHC)
* Physicians covered by United, Hospital services covered by BCBS
Erie County Cancer Services Program
Fidelis
Child Health Plus
First Health
Genesee, Orleans, Wyoming and Niagara Counties - Cancer Services Program
HealthPlex
Highmark Western and Northeastern New York (formally Blue Cross Blue Shield of Western New York)
Child Health Plus
Humana ChoiceCare
Humana Military
Tricare East Prime
Tricare East Select
Independent Health
Health Benefit Exchange
Child Health Plus
Indian Health Services (IHS):
Including -
a)Tuscarora, Tonawanda Seneca
b) Seneca Nation Allegany/Salamanca, Seneca Nation Cattaraugus/Irving
c) St. Regis Mohawk
DHHS Purchased/Referred Care
Interlink - Transplant Network
Liberty Dental
LifeTrac - Transplant Network
Lifetime Benefit Solutions (EBS-RMSCO)
Magnacare
Managed Care Advisors (MCA) - Sedgwick (World Trade Center)
Martin's Point Healthcare (US Family Health Plan)
MedCal
Medicaid (New York)
Medicare
Molina HealthCare
(formally YourCare Healthplan)
Child Health Plus
Multi Plan (PHCS - Private HealthCare Systems Inc)
MVP (Preferred Care)
Optum Health
URN CRS - Transplant Network
VA Community Care Network (VACCN)
UHC Dental
United (UHC) *
Yes if accessed through Multiplan or CRS **
Univera HealthCare
Child Health Plus
* If you are accessing Roswell Park Comprehensive Cancer Center with one of these health plans, please be advised that you may be subject to higher out of pocket costs.
** Although Roswell Park Comprehensive Cancer Center is not directly participating with the health plan, please call us at 1-800-ROSWELL to determine if your plan allows for out of network benefits.
**Updated Health Plan Partnerships 8/1/24
Two major factors to consider when choosing a health insurance plan are coverage and cost. As you compare plans offered by different companies, you will see that not all have in-network access to Roswell Park Comprehensive Cancer Center and its providers. You need to choose a plan that covers your cancer treatment, the hospital where you are treated, and the services of the doctors treating you.
If your health insurance plan informs you that you are not allowed to go to Roswell Park for any reason, you may want to consider taking the following steps to appeal their decision:
Roswell Park accepts both traditional Medicare and New York State Medicaid.
However, Medicare Managed and Medicaid Managed plans are different and the most important thing to learn is whether Roswell Park is listed as an in-network provider. If Roswell Park is not in-network, all services will require prior authorization, the insurance may not cover your services, you may have higher out-of-pocket costs, and/or you may be able to receive services at Roswell Park.
Patients with Medicare coverage may be eligible for co-pay assistance for drug treatments, including chemotherapy, through foundations such as the Patient Access Network Foundation. Patients with commercial insurance coverage may be eligible for copay assistance for drugs through a drug company’s assistance program. These programs do have eligibility requirements (diagnosis, income limits).
Your insurance company will tell you if you have in-network coverage of services at Roswell Park. You want to make sure your primary care doctor, specialists and hospitals also are contracted with your insurance company so the treatments and services they provide you are covered. Out-of-pocket costs, like co-pays, typically are lower with an in-network provider.
You may still be able to receive services at Roswell Park with an out-of-network insurance plan; however, pre-approval from your insurance carrier may be required before you are treated here. Also, insurance plans often pay less for out-of-network services, leaving you responsible for a larger portion of your bill. Read about New York State's Rights and Protections Against Surprise Medical Bills.
If you have an out-of-network plan, ask your insurance company if they provide out-of-network benefits and if authorizations are required for out-of-network care at Roswell Park. Other questions you should ask include:
Time to make a change?
Find out what you need to know if you are ready to switch your health insurance plan.
